The ability of shock index to predict refractory postpartum haemorrhage: A secondary analysis of the prospective and multicentre HELP MOM study
Authors' conclusion
The shock index measured at the start of sulprostone infusion and at the worst time after enrolment, has poor discriminative power to predict this event.
Study context
- Population
- Patients with severe PPH (blood loss ≥1500 ml requiring sulprostone)316 analysed
- Participants
- 332 patients
- Comparison
- Shock index at T0 and T1 as predictors of refractory PPH
- Primary endpoint
- Predictive ability of the shock index (univariate and multivariate logistic regression and AUROC)
Methodological detailsNovember 2014 to November 2016
- November 2014 to November 2016
Primary result
As reported in the abstract
Refractory PPH
T0
0.614
95% CI 0.549 to 0.678
AUC
T1
0.681
95% CI 0.616 to 0.746
AUC
Odds ratio (95% CI)P value
T0
3.07(1.22–7.89)
P = 0.017T1
5.28(2.25–12.8)
P < 0.001- Prevalence of refractory PPH
- 35.4% (112/316)
Original publication
The ability of shock index to predict refractory postpartum haemorrhage: A secondary analysis of the prospective and multicentre HELP MOM study. Eur J Anaesthesiol. Published 21 February 2025. doi:10.
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